| Chronic Care Management Llc | |
|
815 Business Park Dr Ste A Traverse City MI 49686-8683 | |
| (231) 421-6921 | |
| (231) 421-7852 |
| Full Name | Chronic Care Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 815 Business Park Dr Ste A, Traverse City, Michigan |
| Authorized Official Name and Position | Julie Anne Hartl (OWNER) |
| Authorized Official Contact | 2314216921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chronic Care Management Llc 801 Joe Mann Blvd Ste P-6 Midland MI 48642-8900 Ph: (989) 791-2455 | Chronic Care Management Llc 815 Business Park Dr Ste A Traverse City MI 49686-8683 Ph: (231) 421-6921 |
| NPI Number | 1730506726 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 7214150770 |
|---|---|
| Medicare Enrollment ID | O20140602001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730506726 | NPI | - | NPPES |
| 1801187778 | Medicaid | MI |
| Provider Name | Thomas Charles Nussdorfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134124662 PECOS PAC ID: 2668454547 Enrollment ID: I20040714001114 |
| Provider Name | Marylee Pakieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265517494 PECOS PAC ID: 7911995972 Enrollment ID: I20110113001084 |
| Provider Name | Marjorie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639266067 PECOS PAC ID: 6305846122 Enrollment ID: I20110118000470 |
| Provider Name | Julie A Hartl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801187778 PECOS PAC ID: 6204005101 Enrollment ID: I20110810000524 |
| Provider Name | Donald A Leright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972944304 PECOS PAC ID: 5597995381 Enrollment ID: I20140221001352 |
| Provider Name | Barbara Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881049096 PECOS PAC ID: 9739478793 Enrollment ID: I20160513001012 |
| Provider Name | Julie Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578986162 PECOS PAC ID: 3274804836 Enrollment ID: I20170801001917 |
| Provider Name | Rebecca Louise Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033690326 PECOS PAC ID: 2860742178 Enrollment ID: I20180907000951 |
| Provider Name | Jonathan Zywicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376023036 PECOS PAC ID: 7113279118 Enrollment ID: I20181002002164 |
| Provider Name | Karri Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013490663 PECOS PAC ID: 4284987090 Enrollment ID: I20181024002733 |
| Provider Name | Laura Ann Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558839696 PECOS PAC ID: 5799029104 Enrollment ID: I20181211002584 |
| Provider Name | Constance Averill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831338441 PECOS PAC ID: 1658624051 Enrollment ID: I20181218003399 |
| Provider Name | Jc Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760694996 PECOS PAC ID: 7618219411 Enrollment ID: I20190426001087 |
| Provider Name | Kari Ann Mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508419177 PECOS PAC ID: 0749517670 Enrollment ID: I20190814003485 |
| Provider Name | Sarah Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841819521 PECOS PAC ID: 7810310232 Enrollment ID: I20200701003133 |
| Provider Name | Deanna Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447868153 PECOS PAC ID: 1254756430 Enrollment ID: I20200805000826 |
| Provider Name | Kyrstin Rachael Sedlacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821604604 PECOS PAC ID: 3971922782 Enrollment ID: I20200929000394 |
| Provider Name | Ellen Talbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386231223 PECOS PAC ID: 3173936648 Enrollment ID: I20201231000706 |
| Provider Name | Vicki L Comnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083226799 PECOS PAC ID: 9830503291 Enrollment ID: I20210126000671 |
| Provider Name | Susan Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118293 PECOS PAC ID: 7618383225 Enrollment ID: I20210305001614 |
| Provider Name | Jessica Maria Zionskowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841835196 PECOS PAC ID: 5395154496 Enrollment ID: I20210430001605 |
| Provider Name | Daniel John Spencer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265924724 PECOS PAC ID: 0244649531 Enrollment ID: I20210518001134 |
| Provider Name | Megan Michelle Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841966215 PECOS PAC ID: 9234534207 Enrollment ID: I20210830001335 |
| Provider Name | Christina Marie Peltier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770802704 PECOS PAC ID: 1658761903 Enrollment ID: I20211201001339 |
| Provider Name | Shannon Korson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437816006 PECOS PAC ID: 4486044575 Enrollment ID: I20211203001241 |
| Provider Name | Vesna Sokolova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730431099 PECOS PAC ID: 2668863804 Enrollment ID: I20211227000571 |
| Provider Name | Emily Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568083558 PECOS PAC ID: 4789007949 Enrollment ID: I20220414000700 |
| Provider Name | Nadia Braidwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982336418 PECOS PAC ID: 7911387675 Enrollment ID: I20220712001757 |
| Provider Name | Shawna Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205556636 PECOS PAC ID: 1254717259 Enrollment ID: I20220928002222 |
| Provider Name | Julia Jones Sheerin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447974175 PECOS PAC ID: 6901272020 Enrollment ID: I20221014001017 |
| Provider Name | Joshua Swartz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285201319 PECOS PAC ID: 5597132597 Enrollment ID: I20221103003271 |
| Provider Name | Simone E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487317509 PECOS PAC ID: 5799179875 Enrollment ID: I20221213002575 |
| Provider Name | Colleen Buchan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568129369 PECOS PAC ID: 4880065895 Enrollment ID: I20230130000191 |
| Provider Name | Kailey Louise Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274179 PECOS PAC ID: 2668846460 Enrollment ID: I20230317001201 |
| Provider Name | Abigail M O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770295818 PECOS PAC ID: 2466826045 Enrollment ID: I20230322000705 |
| Provider Name | Alicia Kay Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932819778 PECOS PAC ID: 5395103899 Enrollment ID: I20230615000601 |
| Provider Name | April Marie Overla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043992670 PECOS PAC ID: 5395107387 Enrollment ID: I20230808001070 |
| Provider Name | Patricia Anne Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033987532 PECOS PAC ID: 7315397981 Enrollment ID: I20231221003283 |
| Provider Name | Lindsey Gerring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841042488 PECOS PAC ID: 0143669994 Enrollment ID: I20240412003578 |
| Provider Name | Lauren Kline |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205594819 PECOS PAC ID: 6709278492 Enrollment ID: I20240529001026 |
Katharine Westie Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Suite F, Traverse City, MI 49684 Phone: 231-632-4282 | |
E. A. Austin Do Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Madison St, Traverse City, MI 49684 Phone: 231-946-0911 Fax: 231-935-0343 | |
Kelly K Greene Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W 11th St Ste 1w, Traverse City, MI 49684 Phone: 231-929-9040 Fax: 231-929-5586 | |
Pintar Psychological Services, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12719 S West Bay Shore Dr, Suite #9, Traverse City, MI 49684 Phone: 231-714-7054 Fax: 231-943-1032 | |
Senior Outreach Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4996 Ridgewood Rd, Traverse City, MI 49686 Phone: 800-671-1767 | |
Mindspot Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4833 Silver Pines Road, Traverse City, MI 49685 Phone: 231-538-2046 | |
Engel Mind Body Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4620 N Us Highway 31 N, Traverse City, MI 49686 Phone: 231-938-2010 Fax: 231-938-2012 |